Joan Axelrod
Specialist in Oceanside, NY. Individual provider (NPI-1).
NPI number1194074609
StatusActive
Last updated in NPPESAug 30, 2012
Details
- NPI
- 1194074609
- Entity type
- Individual (NPI-1)
- Name
- Joan Axelrod
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2012
- Last updated
- Aug 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1545772 | NY | Yes |
Practice location
569 Derby Dr EOceanside, NY 11572-2611
Phone 516-766-2812
Mailing address
569 Derby Dr EOceanside, NY 11572-2611
Phone 516-766-2812
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All 82 Specialist providers in Oceanside · All 1,323 providers in Oceanside
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